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目的观察火针治疗氟骨症的远期疗效。方法火针治疗38例饮水型氟骨症患者,并于治疗1年后深入高氟区实地随访,比较治疗前及结束时和1年后患者关节疼痛VAS值、尿氟、关节活动度、生活自理能力、中医分型症候评分等临床疗效指标变化,数据经过统计学分析。结果随访时疼痛VAS值显著低于治疗前,高于治疗结束时(P<0.05);尿氟值显著低于治疗前和治疗结束后(P<0.05);关节活动度评分显著低于治疗后(P<0.05);生活自理能力评分显著低于治疗前(P<0.05);瘀血、肾虚症候的症状积分值低于治疗前(P<0.05),瘀血、痰湿、脾虚症候的症状积分值低于治疗后(P<0.05)。结论火针在改善患者疼痛、生活自理能力、中医症候上有显著的远期临床效果,尿氟值也出现明显降低。
Objective To observe the long-term effect of fire acupuncture on skeletal fluorosis. Methods Fire needle treatment of 38 patients with drinking-type skeletal fluorosis, and 1 year after treatment in-depth follow-up of high fluoride area, compared before and at the end of the patient and 1 year after the joint pain VAS value, urinary fluoride, joint mobility, self-care Ability, TCM syndrome score and other clinical indicators of change, the data after a statistical analysis. Results The pain VAS value at follow-up was significantly lower than before treatment and higher than at the end of treatment (P <0.05). Urinary fluoride was significantly lower than before treatment and after treatment (P <0.05), and joint activity score was significantly lower than that after treatment (P <0.05). The scores of self-care ability were significantly lower than those before treatment (P <0.05). The symptom scores of blood stasis and kidney deficiency were lower than those before treatment (P <0.05) Integral value was lower than after treatment (P <0.05). Conclusion Fire acupuncture has significant long-term clinical effect on symptom of traditional Chinese medicine (TCM) and urinary fluoride value decreased obviously in improving patient’s pain and self-care ability.